Cynthia Stanford, M.ED., LMFT
Individual provider Active NPI Marriage & Family Therapist · S Burlington, VT
NPI 1861947293 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1861947293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 100.0092654 (VT)
- Practice address
- 60 Proctor Ave
S Burlington, VT 05403-6134 - Phone
- (802) 448-2175
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100.0092654 | VT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots and Branches, PLLC | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100.0092654 | VT | Yes |
Addresses
Primary practice location
60 Proctor Ave
S Burlington, VT 05403-6134
Mailing address
60 Proctor Ave
S Burlington, VT 05403-6134
Other providers in S Burlington, VT
- Lauren Marie Senesac
- Steven Sobel
- Spinal Care & Decompression Center
- Spinal Care and Decompression Center
- Aerwen E Stagers
- Emily B Stone
- Lara M. Stone
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc
- Vermont Association for the Blind
All providers in S Burlington, VT · Marriage & Family Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.